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West Alabama Couple and Family Therapy, LLC

Details

Name: West Alabama Couple and Family Therapy, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 30 Jan 2020 (5 years ago)
Entity Number: 000-604-700
Register Number: 000604700
County: Tuscaloosa
Place of Formation: Tuscaloosa County
Registered Office Street Address: 2110 EVERGREEN LANETUSCALOOSA, AL 35405
Registered Office Street Address ZIP Code: 35405

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1447885207 2020-03-11 2020-03-11 2110 EVERGREEN LN, TUSCALOOSA, AL, 354058223, US 2825 7TH ST, TUSCALOOSA, AL, 354011807, US

Contacts

Phone +1 432-413-4966

Authorized person

Name MICHA BLAKE BERRYHILL
Role OWNER
Phone 4324134966

Taxonomy

Taxonomy Code 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary No
Taxonomy Code 261QM0850X - Adult Mental Health Clinic/Center
Is Primary Yes
Taxonomy Code 261QM0855X - Adolescent and Children Mental Health Clinic/Center
Is Primary No

Agent

Name Role
BERRYHILL, MICHA B Agent

Organizer

Name Role Address
BERRYHILL, MICHA BLAKE Organizer 2110 EVERGREEN LANETUSCALOOSA, AL 35405

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State